Individual
AMY ELIZABETH KOLD BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, 807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
49938
MN
207L00000X
Anesthesiology Physician
Primary
ME112496
FL
207LP3000X
Pediatric Anesthesiology Physician
ME112496
FL
Other
Enumeration date
09/12/2006
Last updated
11/13/2023
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